Out of approximately one million people with disabilities enrolled in California's Medi-Cal program, only 20 percent are enrolled in managed care. In January 2005, Governor Schwarzenegger proposed expanding mandatory managed care for people with disabilities. The Califo... more
Between 1997 and 2002, the George Washington University School of Public Health and Health Services (GWU) published Negotiating the New Health System: A Nationwide Study of Medicaid Managed Care Contracts. This first national analysis of Medicaid managed care contracts ... more
The New Jersey Smiles quality improvement framework outlined in this project change package describes interventions designed to increase the number of children ages 0-5 who receive an annual dental visit and ensure those at highest risk have access to a dental home. ... more
Across the country, states are exploring how to provide more cost-effective managed care for people with disabilities. Those who have embraced Medicaid managed care for this population believe it can deliver better access and quality at a more predictable cost. To help ... more
The Center for Health Care Strategies (CHCS) is the primary technical assistance provider and coordinating entity for the three states -- Maryland, Georgia, and Wyoming -- awarded a CHIPRA Quality Demonstration grant by the Centers for Medicare and Medicaid S... more
The experience of states involved with Medicaid managed care programs continues to vary greatly. Some states have experienced considerable success with their managed care initiatives, as evidenced by a diverse and stable set of participating plans. Other states have exp... more
This Best Clinical and Administrative Practices (BCAP) toolkit reflects the experiences of the Improving Managed Care for Children with Special Needs workgroup -- 11 health plans and a primary care case management (PCCM) program that collaborated over 24 months to devel... more
The Improving Preventive Care Services for Children Toolkit provides a practical approach for increasing the quality of preventive care for children covered under Medicaid and SCHIP. It includes a simple process improvement model to consistently follow; strategies for i... more
The Affordable Care Act (ACA) will expand access to health insurance for nearly all Americans. It also supports longer-term goals of health system transformation, aimed at providing efficient, high-quality health care. That transformation is possible only when people ha... more
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Isabel Symptom Checker is based on Isabel’s curated machine learning and natural language processing artificial intelligence (AI) clinical engine — covering 6,000 conditions and all specialties. Isabel Symptom Checker enables patients to enter symptoms in everyda... more
A public, direct-to-consumer platform that connects vulnerable families directly to critical social services with built-in assessment, referral management, and reporting for clinicians, case managers, and social workers.... more
